Delta Biblical Counseling Center
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COUNSELING INFORMATION FORMS:

In preparation for counseling, we ask that you fill out the following forms. Please be aware that there are no wrong or right answers to the following questions. Your honest answers will help us to know and serve you better. Simply click on form you'd like to fill out and it will expand.
personal & family information form:

    PERSONAL & FAMILY INFORMATION


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Submit
HEALTH INFORMATION FORM:

    HEALTH INFORMATION



    Please type the name and purpose of the medication. For example: "Claritin-Seasonal Allergies"
    HOW MUCH OF THE FOLLOWING TYPE OF BEVERAGES DO YOU CONSUME DAILY OR WEEKLY?

Submit
BACKGROUND INFORMATION FORM:

    BACKGROUND INFORMATION


    Please answer these background questions to the best of your ability, so we might minister to you more sensitively and wisely. These questions are not meant to imply: 1) that we cannot now know God as Father, sovereign, good and sufficient because of our past, 2) that God cannot use our past for good, 3) that our past is our identity nor, 4) that we are determined by our past.

    Other and Later Life:




Submit
SPIRITUAL LIFE FORM:

    SPIRITUAL LIFE INFORMATION:


Submit
problem checklist FORM:

    PROBLEM CHECK LIST


    Please mark 1-3 on all that apply (1=Mild, 2=Moderate, 3=Severe).

Submit
pre-counseling questions form:

    PRE-COUNSELING QUESTIONS


    Please take some time to think through what has been happening in your life that brings you to counseling. This section will help us get to know your current situation better, in order to match you with a counselor and/or provide the best help. Use the following questions as a guide to journal about what is going on in your life and heart.
Submit
Information and agreement form:
Please read the form below and then sign this form acknowledging that you have read and agree to our counseling procedures at DBCC.
informed consent form:
Please read the form below and then sign this form acknowledging that you understand the nature and conditions of counseling at DBCC.
Deposit
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4700 Allen Road  |  Allen Park, MI  48101  |  313.504.HOPE  |  counseling@deltabcc.org
© Copyright 2022.  Delta Biblical Counseling Center
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